can pass from this first stage that you mentioned to the point where some symptoms will already appear. this is different. it depends on where the tumor is located because, for example, if it is, well, lungs . if you imagine it like this, it's like a balloon if it is somewhere on the periphery of this ball, then the tumor can grow for quite a long time and not manifest itself in any way. you had a very good example with a medical worker, yes, this is the first example, a woman who revealed during confession, by the way, during covid, really from that that patients with lung disease were examined lungs due to an infection, then they began to detect uh, oncology, yes. it didn’t show itself in any way, that is, the person had a covid clinic. and at the same time, doctors found uh, lung cancer, and well, one of the examples in your program just recently. that is, it is

quite important to understand that we need a preventive examination is what we constantly say and quite often we compare it with a hundred cars so you drive the car in order to check to check that everything is fine not because it has already broken and the same should be done to your body, that is, the first stage - this is usually when the patient takes care of himself and can find it. if this does not happen, unfortunately, 70% come to the third and fourth stages, which have already been told about the examination and diagnosis. we will talk today, mr. yuri. i want to add more to our broadcast one person is the vice-president of the public organization of athens women against cancer, viktoriya romanyuk, mrs. viktoriya,

i congratulate you today on our broadcast, good day. let me ask you, victoria, tell me, we just talked about what happened at the first stage. so, when does it happen? well, let's just say that a person has lung cancer. she may not know about it, but i know that there are other such cases. related not only to lung cancer, when people actually get sick and they feel that something is wrong with them. they go to the doctors, undergo examinations, but even these examinations do not show that they are sick, that is, a person can go to doctors for years to be examined, and they will tell him that with everything seems to be fine with her. and then it turns out that cancer was discovered at a late stage. in fact, in your experience, there have been such cases

, so i am forced to admit that quite a lot of people go to the doctor, but hmm. unfortunately, they are not diagnosed today, and here. i would like emphasize that first of all, family doctors should pay attention to these cases, and quite often they put tuberculosis, for example, but the tests do not confirm this, and therefore the person calms down , as if she has no symptoms, so they are worried here i would recommend not to dwell on this and if there are any symptoms, then to find a doctor and, er, not to calm down without establishing a diagnosis, but it is important to note that olga and diana also took part in the plot. we see that it is diana in general a young person who led a healthy lifestyle. she never smoked. and now there is such a

trend that many young women have such dangerous chances of getting cancer even if they do not smoke. and these are not men, but women, this trend is all over the world so it's not worth it to calm down if a person does not smoke. yes, of course , it is difficult to catch the disease at the beginning of the disease, but you have to be attentive to your health, and during the war, people forget that they have to be examined here, i want to say that now in ukraine we need health i am both physically and mentally people, so please consult a doctor, do not delay if any symptoms are related to lung cancer, and those that may be due to lung cancer or

other diseases, do not delay , consult a doctor, this is very important. many people think that they don't have money, they won't be able to be treated, that's why they don't go to a doctor. i want to note that since the beginning of the war, the national health service has not stopped making payments to cancer centers and hospitals and continues to finance medical institutions, so people should know that treatment research e.e. it is paid by the state, it is necessary to contact a family doctor to receive an electronic referral, a person can choose the institution he wants for treatment if you do not know where to turn, you need to use the advice e.e. patient organizations that tell you where it is better to turn to, or even go to another city

if they cannot establish a diagnosis for you, but pay attention to it and do not stop, after all, to bring these points to the end, yuri, i want to ask you too uh, it's really a pity, victoria also emphasized that in the conditions of war , people don't go to doctors much now, and of course i would like people not to forget that they need to take care of their health and we still have to rebuild the country, so how can we win in the conditions of war you can apply in order to undergo a real examination and what kind of examination should it be, this is the most important thing, because as i already understood , establishing a diagnosis of lung cancer is a rather complicated process, and you said that once a year you need to undergo a ct scan, you said that what

was it done before the war? please explain. now i didn’t do it, or it’s a possibility, because it really remains. everything has changed a bit, we understand that where there are military actions, it’s impossible now, but the number of patients is quite enough. has increased in the western regions of ukraine, but the provision is quite good because there was also a transformation of medicine, it did work and western partners and volunteers are helping quite well, so are the displaced people who have moved to other regions. they have the opportunity to undergo an examination, but during wartime, even uh, i will ask more here, not for a preventive examination,

but i will ask even if the symptoms that i said appeared, quite a lot of patients are in a difficult psychological state and they refuse to go even if they have a cough, hemoptysis, if there are already the first symptoms of even a widespread disease, patients uh, having such pressure from the side of military operations, they say there will be what will happen and this is a disaster because even people who already uh are told yes, go get tested, relatives say and quite often he refuses because you are absolutely right, you don't need to wave your hand at yourself, you need to take care of your health, because you can be treated now, even during military operations in ukraine , if there are any difficult cases

it is much easier now to go abroad for treatment if it will not be possible to carry out treatment here in ukraine. but in order to understand what li needs to undergo an examination and that's true. please , ukrainians, pay attention to your health , the country needs you, and i think that this is e- it is quite important to take care of yourself even now, and there are such opportunities , that is, if this is not possible in your region, there is no need to travel a little further west and undergo the examinations that you need. usually these are computed tomography and bronchoscopy and now all oncology dispensaries that are not in the zone of military operations are working and can provide these services. that is, it is possible, mrs. victoria, i want to ask you in connection with what we

are talking about, that it is necessary to apply, and you talked about that that all these examinations are free, mr. yuriy also confirmed this. i know that a hotline has now appeared that oncology patients can contact . people who do not dare to undergo an examination, but they heard today that they have these symptoms that the doctor talked about, can apply. of course, we are ready to help everyone who is worried about the problem of oncological diseases, and this hotline is called the patient has the right. we provide any information related to the treatment of cancer, a person who calls can find out where to get medicine, what is going on, you can

undergo an examination. we also tell people about how important it is today to defend your rights we are very grateful to the doctors who help patients in such a difficult time, including yuri mykolayovych, the doctors of the national cancer institute and other oncology dispensaries of oncology centers in moscow, and in the first days of the war in medical institutions they provided medical assistance to people in very difficult conditions, so we are very grateful we respect and are proud of our doctors about that. i would like to point out that, unfortunately, there are still such moments in our country as corruption and others, and we are often called by patients who cannot get medicine or medical services, and that is why we we tell you how to do it and point out

how important it is, because now our soldiers, our brothers, sisters, husbands and fathers are protecting ukraine . they are not afraid of the enemy, they are ready to die for ukraine to be free. makes ukraine weak, we need to build such a state that will be the best for us and in general, it will be the best, the best education, we have to get rid of those soviet relics that make our health care system weak, and therefore be please don't be afraid to defend your right don't be afraid to defend your right to life it's important not only for you personally it's important for every person in ukraine for every patient and for the whole

state i want to announce the hotline numbers they are vetted but the name is 0.66 911- 33-33 and 0.68 91-33-33 the hotline is open on weekdays from monday to friday from 10 a.m. to 6 p.m. and i want to ask yuriy one more thing about what you started saying to mrs. victoria about treatment and medicines, what has the war actually changed here and how to treat it now a patient with lung cancer, because we know that there were interruptions with medicines at the beginning of the war, we were told that there is no medicine at all, medicine is not supplied, how can you tell us now whether treatment is available for patients with lung cancer and

whether it is necessary to pay for it or do you have to do it yourself to pay for these medicines? does the state still provide free, free treatment , they provide it quite well, yes, there are indeed logistical problems and some medicines do not have to be bought, they are simply not available in ukraine, that is, i don’t know what kind of money no you will find because it is a problem with the logistics of supplying these drugs. and, well, 890% of them are provided with completely free chemotherapy , which patients can receive more than that, surgical treatment is needed , and patients also need free radiation therapy, but with radiation therapy is a little more difficult now because it is an energy-consuming system. that is, it is the rays

that are given to it. of course, if there are problems with energy, the system may simply not work if we say for the treatment with chemotherapy almost all drugs are responsible, moreover, most of the foreign partners went to the meeting and even those drugs that were mentioned, that is, the company gave him for therapy for some time, even completely free of charge, although they are not included in the standard of our treatment, that is, it was uh, it's pretty good now, so a bit of a shock after the first uh, wave of the war has passed and the drug logistics system is being adjusted, that is, most of the drugs are available. laska for example, if a person moved from one region to another, how easy is it for her to receive

this free treatment, is it necessary to collect additional documents or can she be accepted? for example , if she lived in the east of the south of the country and came to western ukraine, it does not matter, it does not matter at all, that is, in any - any ukrainian, where he did not live, he can come to the nearest medical institution, the only thing i urge is to apply for a profile, so that if we communicate with oncology, please contact the oncology e-e institutions, because i have had stories like your friend's where they were treated for one disease and then only found out about another, the problem here is that the person turned to another specialist, that is , if a ukrainian goes to an oncology institution - in what region is he receiving treatment

and it is also thanks to the system that changed before the war, that is, the family doctor must give a referral and the referral to you is not tied to the territory, especially now, mr. yuriy, i want to thank you for being here today with us on communication and wish that your patients would listen to your advice today and know that they need to take care of their health . thank you . yurii kondratsky we continue to communicate with ms. victoria and will add to our broadcast one more a-and heroine with whom we will communicate today ms. victoria, i want to ask you that a very important topic remains the treatment abroad of one of our

the heroine, yes, about whom we talked about in the story, she talked about the fact that she managed to go abroad and undergo treatment there. for our patients and whether they actually have the opportunity to leave now. unfortunately, many patients with lung cancer do not have the opportunity to receive treatment in ukraine due to the lack of public procurement and of expensive innovative drugs, in part we received humanitarian aid from the ministry of health, which included drugs for the treatment of lung cancer, but in very small quantities. our state procurement nomenclature includes

one target drug and chemo drugs for treatment, but many patients need other drugs which there is none in ukraine, i also want to note that one of the manufacturers, the roche company, provided humanitarian aid for cancer patients, including olga, who received this drug from our organizations a-a patients could receive even there for up to six months e-e these medicines are expensive for free but hmm, many of the patients went abroad, a large part of people traveled independently and are receiving treatment now in european countries, we are grateful to the countries in europe and the european commission e-e that provide now our patients have been able to undergo treatment since the very beginning of the war, and a little later the ministry of health began to carry out medical evacuation of military wounded and

oncology patients abroad, and we help patients submit an application for this medicaid before evacuation, and the doctors consider whether the patient is in such a condition that he can go, and then the patient is evacuated abroad . the opportunity to be treated for free, the patient has absolutely all the rights as the patients of these countries to which he came, and this is quite often . of europe for this great support and i want to add to

our broadcast tetiana he glin, the coordinator of the lung cancer direction of the public organization athens women against cancer, ms. tetiana, i congratulate you and you, ms. tetiana, can you hear me i can’t hear you yet, now we will try to understand why you can hear me now er, i want to ask you. i understand that you mostly communicate with female patients. and i want to ask what problems people face most when diagnosed with lung cancer and when they need treatment, tell me about these problems thank you for your questions, the number one problem is the stigma of smoking, unfortunately, we have a prejudice

that only smokers get sick, yes, most of them do, but every fifth or, well, somewhere around every fifth or every sixth patient has never smoked, and prejudices about that that only kortsi is ill harms these patients in receiving a timely diagnosis. unfortunately, such patients are diagnosed at late stages. to acquaint ukrainian citizens with risk factors and symptoms so that they can timely address them and consult a doctor regarding treatment problems. i would single out the

second problem, which is the problem with access to medicines . there are many modern drugs that very effectively treat lung cancer in advanced stages, yes. they are expensive, but now our patients have the opportunity to either use evacuation through the ministry of health or receive humanitarian help or go abroad on your own and continue treatment with effective drugs that will significantly prolong their life in the advanced stages of lung cancer and improve its quality

. in order to choose this effective treatment , you need to undergo a special diagnosis, this is called molecular profiling tumors, so if you have been diagnosed with lung cancer, please contact your oncologist and ask him about it ms. victoria ms. tetyana i have a very short question for you i am waiting for an answer from you both, so that you can tell me, what kind of patients do you advise patients who have found out that they have lung cancer to go abroad now for treatment or to stay in ukraine and receive this treatment? which one is free of charge in ukraine, who is the first, who, let's answer, you can take turns , you can leave, i'm pulling, uh, i would say that it depends

on the stage of the patient's condition and the exact diagnosis, because lung cancer is a heterogeneous group that includes, well , very different subspecies with different treatment protocols and time is short, time is short, ms. tetyana viktoriya and you still want to give advice. unfortunately, i did not hear what tetyana said, but i advise people to fight for their lives a-a using various methods that are acceptable for them at this moment well, as we have seen , olga cannot to leave, she wants to be useful in her country, that's why i want to appeal to people er to our citizens to support cancer patients in their struggle and er to

unite together er in order to find ways for these people to live useful in our country and we still have many things that need to be done do thank you, thank you, uh, victoria romaniuk, the vice president of the public organization athena women against cancer was in touch with us, and tatyana glinska, the coordinator of the lung cancer department of the public organization athena women against cancer thank you, dear guests, and i want to remind you once again to our viewers, if you still experience a prolonged cough, expectoration of blood, pain in the chest and often worsens with a deep breath or when you laugh, when you speak, you have shortness of breath, fainting in the voice, these can be frequent infections such as bronchitis and pneumonia that return, please pass the examination and preferably more than one examination, take care of your health and remember what our

guests already said today about the fact that lung cancer can not be detected in the first stage, so please be very vigilant it was a program about health and i'm iryna koval - take care, i'm iryna koval, mother, wife, presenter of the espresso tv channel. and i'm also a volunteer, our soldiers at the front need a lot of things every day, and that's why part of my life today is help armed forces of ukraine and i am very grateful to my colleagues that they support me in this. thanks to our soldiers, i can at least not be distracted from the continuous flow of

news for a long time. on the backs of fantastic people who protect our dear ukraine at the cost of their own lives, the least i can do personally is to thank our indomitable defenders, transfer the funds for the needs of the army, join and each of you with even a small contribution to the support of the army can help you. it saves the lives of our soldiers and brings our victory closer. good evening. we are from ukraine. vasyl zima's big broadcast. my name is taras zima. two hours of air time and my colleagues are with you until 21:00 for two hours of your time. we will talk about the most important thing is two hours to learn about the war , serhiy zgoretska joins our broadcast, the military results of the day what in the world will yury and the physicist tell us, two hours more to be aware of economic news, protested oleksandr borshchytsa he tells us

about the economy during the war and new sports yevhen pastukhov is ready to talk about sports for two hours in the company of his favorite presenters about culture during the war lina is ready to talk about culture during the war or something else that many have become silly, maybe the weather will give us some optimism mrs. natalka didenko is ready to tell us and also we will have distinguished guests of the studio today volodymyr hryshko if all goes well the events of the day in two hours vasyl winter's big broadcast a project for smart and caring people in the evening nayspresso good evening we are from ukraine iryna koval but they need a lot of things and that is why part of my life today is help to the armed forces of ukraine and i am very grateful to my colleagues for supporting me in this sport during the war, what is

it empty stadiums without fans in the stands deserted sports halls and also destroyed sports facilities our athletes lost the opportunity to train at home because of the war and were forced to flee abroad to prepare for future starts those who remained with weapons in their hands heroically defend ukraine in this war second place ukraine will not be satisfied with the victory we need. each of you is a cavalryman, saving the lives of our soldiers and bringing our victory closer. my congratulations to everyone who is with us. this is news and the espresso editorial team is ready to tell about the most